TEMPLATE Medicine item R1 (Medicine item R1)

TEMPLATE ID	Medicine item R1
Concept	Medicine item R1
Description	Not Specified
Purpose	Not Specified
References
Authors	name: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2020-07-22
Other Details Language	name: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2020-07-22
OtherDetails Language Independent	{PARENT:MD5-CAM-1.0.1=E6B520A25FDC09E5512C6BBA08FD8218, original_language=ISO_639-1::en, MD5-CAM-1.0.1=31e2ceeae106c42381d2058090c1ffe6}
Language used	en
Citeable Identifier	1013.26.358
All	OperationalTemplate [rootArchetypeId=openEHR-EHR-INSTRUCTION.medication_order.v2, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2], code=at0000, itemType=INSTRUCTION, level=0, text=Medicine order, description=An order for a medication, vaccine, nutritional product or other therapeutic item for an identified individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Order, description=Details of the requested order., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=3, text=Medicine name, description=Name of the medication, vaccine or other therapeutic/prescribable item being ordered., comment=Depending on the prescribing context this field could be used for either generic- or product-based prescribing. This data field can be used to record tightly bound orders of different medications when they are prescribed as a single pack. It is strongly recommended that the 'Medication item' be coded with a terminology capable of triggering decision support, where possible. The extent of coding may vary from the simple name of the medication item through to structured details about the actual medication pack to be used. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1], code=at0000, itemType=CLUSTER, level=3, text=Strength/Form, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0071], code=at0071, itemType=ELEMENT, level=4, text=Form, description=The formulation or presentation of the medication or medication component., comment=For example: 'tablet', 'capsule', 'cream', 'infusion fluid' or 'inhalation powder'. Coding of the form with a terminology is preferred, where possible. Medicines catalogues may differentiate between administrable form 'solution for injection' and product form 'powder for solution for injection'. The recorded form will depend on the exact context of use but administrable form is likely to be used in most instances., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152], code=at0152, itemType=CLUSTER, level=4, text=Strength (presentation), description=The strength of the medication or medication component, expressed as a ratio., comment=In some cases, as for liquid or semisolid medications, the denominator of the strength ratio is a physical quantity, for example 2 mg/5 ml. In some of these cases the denominator also reflects the actual volume of the component: 5 ml in the previous example. In this case the 'Strength (concentration)' would be 0.4 mg/ml. In other cases, where the strength involves a denominator which is not a physical quantity, for example 4 mg/tablet, the denominator is expressed as a unitary value '1' with a unit of '1', and 'tablet' is carried in the 'Unit of presentation' element. This arrangement was chosen to align with the approach adopted by the ISO IDMP standard for medication catalogues., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0153], code=at0153, itemType=ELEMENT, level=5, text=Strength numerator, description=The value of the numerator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength numerator value is '300'. For a presentation strength of '100 mg/tablet', the strength numerator value is '100'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Strength numerator unit, description=The unit of the numerator of the strength fraction., comment=The strength numerator is usually recorded using mass, volume or arbitrary units. For example: 'mg', 'ml', 'IU'. For a presentation strength of '300 µg/0.3 ml', the strength numerator unit is 'µg'. For a presentation strength of '100 mg/tablet', the strength numerator value is 'mg'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0157], code=at0157, itemType=ELEMENT, level=5, text=Strength denominator, description=The value of the denominator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength denominator value is '0.3'. For a presentation strength of '100 mg/tablet', the strength denominator value is '1'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Strength denominator unit, description=The unit of the denominator of the strength fraction., comment=The strength denominator is usually recorded using mass or volume units. For example: 'g', 'ml'. For a presentation strength of '300 µg/0.3 ml', the strength denominator unit is 'ml'. For a presentation strength of '100 mg/tablet', the strength denominator unit is '1'. For this example, the 'Unit of presentation' element is used to record the presentation unit of the medication, 'tablet'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0158], code=at0158, itemType=ELEMENT, level=4, text=Unit of presentation, description=The unit of presentation for a single dose of the medication, for use with the 'Strength denominator unit' element., comment=For example: 'tablet', 'capsule', 'puff', 'inhalation'. In most cases, like for tablets and capsules, the unit of presentation is identical to the Form. For some presentations such as inhalers, the Form may be 'inhalation powder', 'inhalation aerosol' or 'inhaler' while the unit of presentation is 'inhalation', 'puff', or 'dose'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0115], code=at0115, itemType=ELEMENT, level=4, text=Strength (concentration), description=The strength of the medication or medication component, as a concentration., comment=This element is used for liquid or semisolid medications, or medications intended to be diluted in a liquid before administration. For example: '10 mg/ml', '20 mg/g', '5 %', '10,000 SQ-U/ml'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=3, text=Route of administration, description=The route by which the ordered item is to be administered into the subject's body., comment=For example: 'oral', 'intravenous', or 'topical'. Coding of the route with a terminology is preferred, where possible. Multiple potential routes may be specified., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1], code=at0000, itemType=CLUSTER, level=3, text=Therapeutic direction, description=Structured details of a single therapeutic direction for an ordered item, such as a medication or blood transfusion order., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1], code=at0000, itemType=CLUSTER, level=4, text=Dosage, description=The combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management., comment=For example: '2 tablets at 6pm' or '20mg three times per day'. Please note: this cluster allows multiple occurrences to enable representation of a complete set of dose patterns for a single dose direction., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Dose amount, description=The value of the amount of medication administered at one time, as a real number, or range of real numbers, and associated with the Dose unit., comment=For example: 1, 1.5, 0.125 or 1-2, 12.5-20.5, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Quantity>=0 Interval of Quantity*Lower constraint: >=0 Upper constraint: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[at0145], code=at0145, itemType=ELEMENT, level=5, text=Dose unit, description=The unit which is associated with the Dose amount., comment=For example: 'tablet','mg'. Coding of the dose unit with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[at0135], code=at0135, itemType=ELEMENT, level=5, text=Dose formula, description=The formula used to calculate the dose amount or administration rate where this is dependent on some other factor, such as body weight or surface area., comment=For example: '10mg/kg/day'. The result of this formula would normally be held in Dose amount/unit or Administration rate/duration. Where clinical measurements such as body weight is used in the dose calculation, a LINK attribute should used to specify which particular measurement has been used., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Text Quantity , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[at0178], code=at0178, itemType=ELEMENT, level=5, text=Dose description, description=Text description of the dose., comment=For example: "Apply ointment to affected area until it glistens". This element is intended to allow implementers to use the structures for increasing/tapering dosages without necessarily specifying the doses in a structured way., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1], code=at0000, itemType=CLUSTER, level=5, text=Timing - daily, description=Structured information about the intended timing of a therapeutic or diagnostic activity within any 24 hour period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Frequency, description=The frequency as number of times per time period that the activity is to take place., comment=For example: "4 times per day" or "3 to 4 times per hour"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Quantity>=1; >=1; >=1; >=1 Units: 1/d 1/min 1/s 1/h Interval of QuantityLower constraint: >=1; >=1; >=1; >=1 Units: 1/d 1/min 1/s 1/h Upper constraint: >=1; >=1; >=1; >=1 Units: 1/d 1/min 1/s 1/h , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0014], code=at0014, itemType=ELEMENT, level=6, text=Interval, description=The time interval or minimum and maximum range of an interval between each scheduled activity., comment=For example: "Every 4 hours" or "Every 4 to 6 hours"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=PT0S..PT24H Units: Hour Minute Second , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Specific time, description=A specific time or interval of time when the activity should occur., comment=For example: "08:00" or "15:00-16:00"., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Time* Interval of Time , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=As required, description=Record as True if the activity should only occur when the "'As required' criterion" is met., comment=Termed 'PRN' ("pro re nata", latin: "as the situation arises") or 'PN' ("per necessare", latin: "when required") in some cultures., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0039], code=at0039, itemType=CLUSTER, level=6, text=Specific event, description=A specific, named time event that the activity should occur in relation to., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0039]/items[at0026], code=at0026, itemType=ELEMENT, level=7, text=Event name, description=The name of the event that triggers the activity to take place., comment=For example: "Before each meal", "at bedtime", "in the morning". It is understood that these event names may not equate to the same exact times in different cultures. Coding with a terminology, for example HL7 FHIR Named events, is recommended where appropriate., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0039]/items[at0040], code=at0040, itemType=ELEMENT, level=7, text=Time offset, description=The period of time before or after the named event when the activity should take place. Negative durations can be used to signify that the activity should take place before the event., comment=For example: '30 minutes after meal = meal + 30 minutes', '2 hours before bedtime = bedtime -2 hours'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=PT0S..PT24H Units:* Hour Minute Second , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[openEHR-EHR-CLUSTER.therapeutic_direction.v1]/items[at0066], code=at0066, itemType=ELEMENT, level=4, text=Course direction, description=The length of time for which this direction should be applied., comment=For example: 'for 7 days','Indefinite'. An example of a set of multiple directions, with varying durations might be ... '1 tablet daily for 3 days, 2 tablets daily for 4 days, then 3 tablets Indefinite'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Coded Text Indefinite Indefinite - not to be discontinued Duration>=PT0S Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Additional instruction, description=An additional instruction on how to use or store the ordered item., comment=For example: precautions as 'take with food', 'Avoid grapefruit', 'Dissolve in water', 'store in a cool, dry place'. This data element allows multiple occurrences and should be coded with a reference terminology, where possible., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Clinical indication, description=The clinical reason for use of the ordered item., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. It is not intended to carry an indication for administrative authorisation purposes., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0167], code=at0167, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the medication order not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]